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手术室文化与跨专业关系:对护士留存率的影响。

Operating Room Culture and Interprofessional Relations: Impact on Nurse's Retention.

作者信息

Laflamme Karine, Leibing Annette, Lavoie-Tremblay Mélanie

机构信息

Author Affiliations: Faculty of Nursing (Ms Laflamme) and Medical Anthropology, Faculty of Nursing (Dr Leibing), Université de Montréal; and Ingram School of Nursing (Dr Lavoie-Tremblay), McGill University, Montreal, Quebec, Canada.

出版信息

Health Care Manag (Frederick). 2019 Oct/Dec;38(4):301-310. doi: 10.1097/HCM.0000000000000280.

Abstract

The purpose of this article is to describe interprofessional relations in order to better understand their impact on nurse retention, while considering the operating room culture and its specific context. A focused ethnography was performed between September and October 2017 at a university hospital in an urban center in the province of Quebec, Canada. This was a secondary analysis of 11 nurses' semistructured one-on-one interviews. Additional data were collected through 6 days of observations, informal conversations, field notes, and a journal. A thematic analysis followed. Interprofessional relations and the need for recognition are important for nurse retention. In addition, a nurse's personality appears to be an important aspect in the complex and specific context of the operating room. Nurse retention in the operating room is multifactoral, and like the need for recognition, interprofessional relations are important issues. Interventions to improve working relationships, recognition of nurses, and consideration of a nurse's personality during hiring appear to be promising avenues for improving retention in the operating room.

摘要

本文旨在描述跨专业关系,以便在考虑手术室文化及其特定背景的情况下,更好地理解它们对护士留职率的影响。2017年9月至10月期间,在加拿大魁北克省一个城市中心的一家大学医院进行了一次重点人种志研究。这是对11名护士进行的半结构化一对一访谈的二次分析。通过6天的观察、非正式交谈、实地记录和一本日志收集了额外的数据。随后进行了主题分析。跨专业关系和认可需求对护士留职率很重要。此外,在手术室复杂而特殊的环境中,护士的个性似乎是一个重要方面。手术室护士留职率受多种因素影响,与认可需求一样,跨专业关系也是重要问题。改善工作关系、认可护士以及在招聘过程中考虑护士个性的干预措施,似乎是提高手术室护士留职率的有前景的途径。

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